{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MERVIN O DULL JR","gend":0,"add":"1042   HUNTERS HILL ROAD","city":"CHAMPLAIN","state":"VA","zip":224382019,"dob":"1948-08-24","age":"","mstatus":"","insh":11000104,"cliId":"8WH6XE0UY54","pno":8044434936,"cno":8048543941,"email":"","ename":"","eno":"","pphy":"TSUI, ALLEN Y","ppno":8044435378,"pcpadd":"1362 Tappahannock Blvd","pcpcity":"Tappahannock","pcpstate":"VA","pcpzip":225609309,"pcpcounty":"Essex","pcpid":"P0060100","pcpname":"TAPPAHANNOCK PRIMARY CARE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I20.9","Z68.34","I10","M54.5","M75.102","R29.898","G40.909","G89.29","H60.501","H61.23","H90.5","H61.20","Z71.9","E86.0","E03.9","Z79.899","R41.82","I49.3","R94.31","R56.9","R41.0","R07.9","R06.02","E78.5","Z68.33","Z00.00","Z12.11","Z11.59","R55","Z68.32","G45.9","Z23","N42.9","Z13.31","H25.13","H52.03","Z01.810","G47.00","I63.9","G40.209","F01.50","H25.11","K21.9","Z86.73","Z79.02","Z79.82","Z87.891","E66.9","H26.9","Z96.1","H25.12","I65.23","Z68.31","G62.9"],"date":["2018-02-08","2018-05-21","2019-10-21","2018-02-08","2018-02-08","2018-02-08","2019-10-21","2018-02-08","2018-05-21","2018-05-21","2018-06-25","2018-06-25","2018-06-25","2018-09-02","2018-09-02","2019-10-21","2018-09-02","2018-09-02","2018-09-02","2018-09-02","2018-09-05","2018-09-02","2018-09-02","2019-10-21","2018-09-26","2019-09-09","2019-09-09","2018-09-05","2018-09-05","2019-10-14","2019-09-09","2019-09-09","2019-09-09","2019-09-09","2019-09-18","2019-09-18","2019-09-25","2019-09-25","2018-12-13","2018-12-13","2018-12-13","2019-10-14","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-21","2019-10-14","2019-10-21","2018-10-17","2019-10-21","2019-10-21"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}